scholarly journals Psychological Distress and Stressful Life Events in Pediatric Complex Regional Pain Syndrome

2015 ◽  
Vol 20 (4) ◽  
pp. 189-194 ◽  
Author(s):  
Julia Wager ◽  
Hannah Brehmer ◽  
Gerrit Hirschfeld ◽  
Boris Zernikow

BACKGROUND: There is little knowledge regarding the association between psychological factors and complex regional pain syndrome (CRPS) in children. Specifically, it is not known which factors precipitate CRPS and which result from the ongoing painful disease.OBJECTIVES: To examine symptoms of depression and anxiety as well as the experience of stressful life events in children with CRPS compared with children with chronic primary headaches and functional abdominal pain.METHODS: A retrospective chart study examined children with CRPS (n=37) who received intensive inpatient pain treatment between 2004 and 2010. They were compared with two control groups (chronic primary headaches and functional abdominal pain; each n=37), who also received intensive inpatient pain treatment. Control groups were matched with the CRPS group with regard to admission date, age and sex. Groups were compared on symptoms of depression and anxiety as well as stressful life events.RESULTS: Children with CRPS reported lower anxiety and depression scores compared with children with abdominal pain. A higher number of stressful life events before and after the onset of the pain condition was observed for children with CRPS.CONCLUSIONS: Children with CRPS are not particularly prone to symptoms of anxiety or depression. Importantly, children with CRPS experienced more stressful life events than children with chronic headaches or abdominal pain. Prospective long-term studies are needed to further explore the potential role of stressful life events in the etiology of CRPS.

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hanifah Oswari ◽  
Fatima Safira Alatas ◽  
Badriul Hegar ◽  
William Cheng ◽  
Arnesya Pramadyani ◽  
...  

Abstract Background Functional abdominal pain disorders (FAPD) have been widely reported as a major group of gastrointestinal disorders across the world. This study describes the prevalence, related factors, symptomatology and its relationship to emotional stress in Indonesian adolescents. Methods This is a cross-sectional study. Adolescents aged 10 to 17 years from nine randomly selected state schools from five districts of Jakarta, Indonesia, were invited to participate. A translated and validated Rome-III self-administered-questionnaire was used to collect data on gastrointestinal symptoms. Data on sociodemographic characteristics, intestinal as well as extra-intestinal symptoms, and exposure to stressful life events were also collected using a separate validated questionnaire. Results A total of 1813 questionnaires were included in the analysis [males 739 (40.8%) mean age of 13.54 years + 0.89]. Of them, 209 children (11.5%) fulfilled Rome III criteria of FAPD. Functional abdominal pain (FAP) was reported as the most prevalent subtype (5.8%), followed by functional dyspepsia (3.3%), irritable bowel syndrome (2%) and abdominal migraine (0.4%). The prevalence was higher in girls (p < 0.05) and those exposed to family-related stressful life events (p < 0.05). They include divorce or separation of parents (adjusted OR 2.55, 95% CI 1.75–3.7, p = < 0.001), death of a close family member (adjusted OR 2.24, 95% CI 1.39–3.59, P = 0.001), and father’s alcoholism (adjusted OR 1.94, 95% CI 1.22–3.1, P = 0.005). Conclusions FAPD are common paediatric entities among Indonesian adolescents with a prevalence of 11.5%. FAPD were noted to be higher in girls and adolescents exposed to family-related stressful life events.


2019 ◽  
Vol 7 (2) ◽  
pp. 78-80
Author(s):  
Marc Spielmanns

Background: There is a general notion that stressful life events may cause mental and physical health problems. Objectives: We aimed to describe stressful life events reported by patients with chronic obstructive pulmonary disease (COPD) and to assess their impact on health outcomes and behaviors. Methods: Two hundred and sixty-six primary care patients who participated in the ICE COLD ERIC cohort study were asked to document any stressful life events in the past 3 years. We assessed the before-after (the event) changes for symptoms of depression and anxiety, health status, dyspnea-related quality of life, exacerbations, cigarette use, and physical activity. We used linear regression analysis to estimate the crude and adjusted magnitude of the before-after changes. Results: About 41% (110/266) of patients reported the experience of any stressful life events and «death of relatives/important persons» was most common (31%). After accounting for age, sex, living status, lung function, and anxiety/depression status at baseline, experiencing any stressful life events was associated with a 0.9-point increase on the depression scale (95% CI 0.3 to 1.4), a 0.8-point increase on the anxiety scale (95% CI 0.3 to 1.3), and a 0.8-point decrease in the physical activity score (95% CI -1.6 to 0). Conclusions: Experiencing stressful life events was associated with a small to moderate increase in symptoms of depression and anxiety in COPD, but no discernable effect was found for other physical outcomes. However, confirmation of these results in other COPD cohorts and identification of patients particularly vulnerable to stressful life events are needed.


2013 ◽  
Vol 38 (8) ◽  
pp. 1504-1511 ◽  
Author(s):  
Yair J Ben-Efraim ◽  
Danuta Wasserman ◽  
Jerzy Wasserman ◽  
Marcus Sokolowski

2020 ◽  
Vol 11 ◽  
Author(s):  
Jutta Lindert ◽  
Lewina O. Lee ◽  
Marc G. Weisskopf ◽  
Martin McKee ◽  
Susanne Sehner ◽  
...  

Objectives: Stressful life events, especially relationship events, are frequent in adult life. We investigated the impact of a variety of stressful life events on symptoms of depression, anxiety, and hostility.Methods: We analyzed data from a large prospective cohort study of men (n = 1,437) in the Boston area (assessed in 1985, 1988, and 1991). Main outcomes were measures of depression, anxiety and hostility symptoms. We used the Elders Life Stress Inventory (ELSI) to measure stressful life events in the past 12 months and examine their association with symptoms of depression, anxiety and hostility. First, we analyzed the association of stressful life events with symptom changes; second, we categorized stressful life events into finance/work, health, relationships, loss, living situations events; and third, we estimated the specific association between relationship events and depression, anxiety and hostility symptoms using multilevel models.Results: The most frequent stressful life events were health, relationship, and financial events. Depression, anxiety, and hostility symptoms were relatively stable among men who did not experience these life events. However, those who reported life events in the past 12 months had a greater increase in symptoms of depression (+0.05; 95% CI: 0.01 to 0.10) and of hostility (+0.05; 95% CI: 0.01 to 0.09) than those who did not. Additionally, we found a significant decrease in hostility (−0.05; 95% CI: −0.08 to −0.01) in those experiencing no life events.Conclusion: Relationship events were more important than any other type of events, and were significantly associated with increased depression and hostility in aging men. Although the effects were small, the results point to a need to understand better the impact of relationships on psychopathology in the aging population.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1678-1678
Author(s):  
A.M. Nayback-Beebe

IntroductionThere have been prevailing gender differences in negative mental health outcomes for female U.S. veterans returning from combat deployments. Research has validated the importance of post-deployment social support in mitigating the effects of these experiences on mental health; however, the influence of conflict within the social network has not been thoroughly explored.Aims(1)Examine the relationships between social support, conflict, and stressful life events to PTSD, depression, and anxiety symptom severity in female veterans 6–12 months after deployment.(2)Determine whether the absence of social support or the presence of social conflict is more influential in the severity of these symptoms.MethodsDescriptive, correlationalResultsThere were significant positive bivariate correlations (p < .01) between conflict and stressful life events and significant negative bivariate correlations (p < .01) between social support and each of the three outcome variables: PTSD, depression, and anxiety symptoms. Hierarchical linear regression showed that co-morbid depression, greater post-deployment stressful life events, and greater conflict within the social network best explained the presence of greater PTSD symptom severity. Stressful life events did not contribute to greater anxiety symptom severity; however, symptom severity was affected by the absence of social support. In contrast, greater depression symptom severity was best explained by the presence of co-morbid PTSD symptoms and the absence of social support.ConclusionsTreatment programs for PTSD and anxiety in female veterans’ post-deployment must assess and address sources of intrapersonal conflict within their social networks. Family therapy may be integral to treatment success.


2021 ◽  
Author(s):  
Mebratu abraha Kebede ◽  
Getinet Ayano ◽  
Dereje Bayissa ◽  
Abraham Getachew ◽  
Mahteme Bekele ◽  
...  

Abstract Background: Since the declaration of coronavirus disease 2019 (COVID-19) outbreak as a pandemic, different countries across the globe have been using quarantine to decrease the transmission of the disease and subsequently to minimize morbidity and associated mortality. Evidence suggests that quarantine might have a wide-ranging, substantial, and long-lasting negative psychological impact especially when the necessary preventive measures are not taken. However, to the best of our knowledge, there are no prior studies that determined the prevalence and correlate of depression and anxiety in quarantined populations during the COVID-19 outbreak in Sub-Saharan Africa including Ethiopia.Methods: A community-based cross-section study was conducted among individuals under quarantine from June 5 to July 5, 2020. After obtaining verbal consent, data was collected face to face using the structured and self-administered hospital anxiety and depression scale instrument. Hospital Anxiety and Depression Scale (HADS) was used to assess depression and anxiety. Binary logistic regression analysis (multivariate analysis) was used to identify the potential determinants of depression and anxiety.Result: A total of 297 participants were included in the study which makes the response rate 90.8%. The prevalence of anxiety, depression, and co-morbid anxiety and depression were 21.5%, 70.7%, and 15.8% respectively. In our multivariable analyses, stressful life events (AOR 2.61, 95%CI (1.46, 4.67)), spent time on sleeping (AOR 1.97, 95% CI (1.08, 3.62)), and believing that COVID-19 could be prevented by wearing a glove (AOR 0.30, 95% CI (0.11, 0.81)) showed a statistically significant association with anxiety, whereas being married (AOR 2.67, 95% CI (1.37, 5.22)), had stressful life event in the last six months (AOR 1.44, 95% CI (1.44, 5.25)) and spending of time by sleeping during the quarantine (AOR 1.97, 95% CI (1.42, 6.19)) predicted depression.Conclusion: The current study result indicated that a considerable proportion of individuals who were under quarantine during the COVID-19 pandemic have experienced psychological disturbances, such as anxiety and depression. The presence of stressful life events, time spent on sleeping, and believing that COVID-19 could be prevented by wearing masks were found to be significant predictors of depression or anxiety among the participants. The results suggest that attention needs to be given to mitigate mental health problems in the quarantined population during the COVID-19 outbreak.


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